title: Self care programs and multiple sclerosis: physical therapeutics treatment - literature review.
abstract: OBJECTIVE
  To clarify the therapeutic education program impact with multiple sclerosis patients, literature review. Highlight contents and efficacy.
  
  
  METHODS
  A non-systematic review on Medline, PubMed and Cochrane library databases from 1966 to 2010 using the following keywords: "multiple sclerosis", "self-care", "self-management" and specific symptoms keywords. Clinical trials and randomized clinical trials, as well as literature reviews published in English, French and German will be analyzed.
  
  
  RESULTS
  Counseling is a part of the non-pharmacological management of chronic illnesses such as multiple sclerosis. Symptoms' diversity and the different clinical forms limit standardized programs of self-care management, applicable to patients. In the literature review, counseling programs have often low metrology. A behavior change with patients and medical staff could exist. To empower the patient, to reduce symptoms' impact and to improve treatment access are the aims of educational therapy.
  
  
  CONCLUSIONS
  Therapeutic education program for multiple sclerosis patients could progress with their standardization and assessment, for each sign. To promote the educational therapy of multiple sclerosis patients, a specific training for medical staff, as specific financing are necessary.
authors.affiliation: Groupe hospitalier de l'institut catholique lillois, 59000 Lille, France. demaille.samantha@ghicl.net
authors.forename: S
authors.initials: S
authors.lastname: Demaille-Wlodyka
authors.forename: C
authors.initials: C
authors.lastname: Donze
authors.forename: P
authors.initials: P
authors.lastname: Givron
authors.forename: P
authors.initials: P
authors.lastname: Gallien
mesh_terms: D006801:Humans; D009103:Multiple Sclerosis / Q000628:therapy*; D010353:Patient Education as Topic; D012648:Self Care